Z68-25427-21224
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 801 / CO
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-17
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 2MedDRA: Herpes zoster, Unevaluable event — Feeling: Poor · Site: Redness, Itching · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): 2 days before my second covid vaccine I was presumptively diagnosed with shingles. (Lab verification pending) I decided to complete antiviral RX for shingles and postpone second covid vaccine. · Healthcare visit (other): Sorry to enter information under second vaccine, but I couldnt find any other way to enter info under shot one. May be a coincidence, but thought it was important to let you know.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 0, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Poor · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with shingles, after I had completed final check in for shot 1. I have postponed second injection. Not sure if related, but thats youre jobMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
- 2021-04-26
- 2021-06-22
- 2021-09-20
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2022-02-27
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-22 | Successful | Participant prefers to complete VAERS report online |
| 2021-03-24 | Successful 2022-02-27 |
Participant prefers to complete VAERS report online |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): 2 days before my second covid vaccine I was presumptively diagnosed with shingles. (Lab verification pending) I decided to complete antiviral RX for shingles and postpone second covid vaccine.
Healthcare visit (other): Sorry to enter information under second vaccine, but I couldnt find any other way to enter info under shot one. May be a coincidence, but thought it was important to let you know.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I was diagnosed with shingles, after I had completed final check in for shot 1. I have postponed second injection. Not sure if related, but thats youre job
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release